SOFIA QUINN
Subscriber on policy B09M000102
Claims
2
Attributed to this person
Charged
202.00
Total submitted
Denied
154.07
2 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | SOFIA QUINN |
| Role on the policy | Subscriber |
| Policy | B09M000102 |
| Date of birth | 25 Mar 1996 |
| Plan | GOLD PPO |
| Covered from | 9 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000430 | 26 Jul 2025 | 82.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 34.07 |
| CLM0000431 | 3 Dec 2024 | 120.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 120.00 |